Technical Support Request Form
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Please use this form to initiate a request for support. Give as much information as you can to help us handle your request quickly and efficiently.
*Problem ID (for follow-up):
*First Name:
*Last Name:
*Company Name:
*Distributor/Supplier Name:
Fax:
*Telephone:
*e-mail:
*What method of installation did you use:

Other Method:
*Version of Bsafe Product and build number (PC client):
*Version of Bsafe Product and build number (Green screen):
*Version of OS/400 used:
*Do you use DBCS on your version of OS/400? Yes No
*Problem title:
File Attachment:
(Only one file may be attached. If you wish to send more than one file please combine them into a single zip file.)
*Description of the problem:
Further Comments:
*Verification:


(type these into the right box)
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